NPI | 1225641152 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACHARY P JOOS Owner 425-655-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QS0132X Clinic/Center, Ophthalmologic Surgery | |
Enumeration Date | 2020-08-29 |
Last Update Date | 2020-08-29 |